ENVIRONMENTAL PUBLIC HEALTH IMPLICATIONS OF GEOHELMINTHS IN PATIENTS ATTENDING THE UNIVERSITY OF PORT HARCOURT TEACHING HOSPITAL, RIVERS STATE
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Geohelminths are a group of soil-transmitted parasites most prevalent in tropical and subtropical regions and capable of causing serious health issues to vital human organs such as the liver. This study investigated the prevalence of geohelminths in patients attending University of Port Harcourt Teaching Hospital (UPTH), East-West Road, Rivers state, Nigeria, between 15th and 27th March, 2021. Faecal samples of 108 (57 males and 51 females) outpatients from the pediatric ward were collected and examined for the presence of geohelminths. In all 108 samples examined using a saturated brine solution (floatation method) in search of the three mentioned geohelminths: Ascaris lumbricoides, Trichuris trichiura, and hookworm, only one sample was positive for Ascaris lumbricoides, which was found in a female child. The prevalence of the study was 0.93%. In urban areas and semi-urban areas, anthelminthics are administered continuously for regular deworming and there is also better sanitation and hygiene in such areas compared to rural. The low prevalence observed may reflect improved sanitation and deworming programs in the study area, although larger community-based studies are required to confirm this trend. The study further recommends continuous administration of anthelmintics, as well as health education and proper hygiene to keep improving the decline of geohelminths in the region.
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Abe, E. M., Echeta, O. C., Ombugadu, A., Ajah, L., Aimankhu, P. O., & Oluwole, A. S. (2019). Helminthiasis among School-Age Children and Hygiene Conditions of Selected Schools in Lafia, Nasarawa State, Nigeria. Tropical Medicine and Infectious Disease, 4(3), 112.
Albonico, M., Bickle, Q., Ramsan, M., Montresor, A., Savioli, L., Taylor, M. (2003). Efficacy of mebendazole and levamisole alone or in combination against intestinal nematode infections after repeated targeted mebendazole treatment in Zanzibar. Bull World Heath Organisation. ;81:343–52.
Barreto, M., Genser. B, Strina .A, Teixeira .M.G, Assis A.M.O, Rego R.F, (2007). Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies. Lancet. ;370:1622–8.
Bethony, J., Brooker, S., Albonico, M., Geiger, S. M., Loukas, A., Diemert, D., & Hotez, P. J. (2006). Soil-transmitted helminth infections: Ascariasis, trichuriasis, and hookworm. The Lancet, 367(9521), 1521-1532.
Bleakley.H., “Disease and Development (2007): Evidence from Hookworm Eradication in the American South,” Quarterly Journal of Economics, 122 , 73–117.
Britannica, T. Editors of Encyclopaedia (2019, ). Ascariasis. Encyclopedia Britannica. https://www.britannica.com/science/ascariasis. 26th July 2021
Brooker, S., Clements, A. C. A., & Bundy, D. A. P. (2006). Global epidemiology, ecology and control of soil-transmitted helminth infections. Advances in Parasitology, 62, 221–261.
Chan M. S., Medley G. F., Jamison D., Bundy D. A. (1994)The Evaluation of Potential Global Morbidity Attributable to Intestinal Nematode Infections. Journal of Parasitology. 109:373–87.
Chinenye, N.G, Eze N. C., Nduka, F. O. (2018). Geohelminth Infections and Associated Risk Factors among Children Living in Selected Shanty (Batcher) Settlements in Port Harcourt Metropolis, Rivers State, Nigeria. International Journal of TROPICAL DISEASE & Health 29(1): 1-8, 2018; Article no.IJTDH.39180 ISSN: 2278–1005, NLM ID: 101632866
Crompton D.W ,Stephenson L.S(1990):Hookworm infection, nutritional status, and productivity.in: Schad GA Warren KS Hookworm disease: current status and new directions. Taylor and Frances, London: 231-264
Fourth WHO report on neglected tropical diseases (2017). Intregrating Neglected Tropical Diseases Into Global Health and Development.
Hotez, P. J., Brindley P.J, Bethony J.M, King C.H, Pearce E.J, Jacobson J.(2008) Helminth infections: the great neglected tropical diseases. Journal of Clinical parasitology. ;118:1311–21
Hotez, P. J., Fenwick, L. Savioli, and D. H. Molyneux. (2009). Rescuing the bottom billion through control of neglected tropical diseases. Lancet 373:1570–1575
Hotez, P. J., Bundy, D. A., Beegle, K., Brooker, S., Drake, L., De Silva, N., Montresor, A., Engels, D., Jukes, M., Chitsulo, L., Chow, J., Laximinayaran, R., Michuad D, C., Bethony, J., Correa. O, R., Shuhua, X., Fenwick, A. (2006). Helminth infections: soil-transmitted helminth infections and schistosomiasis. Pages 467 – 482
Jourdan, P. M., Lamberton, P. H. L., Fenwick, A., & Addiss, D. G. (2018). Soil-transmitted helminth infections. The Lancet, 391(10117), 252–265.
Kache, R., Phasuk, N., Viriyavejakul, P. (2020). Prevalence of soil-transmitted helminth infections and associated risk factors among elderly individuals living in rural areas of southern Thailand. BMC Public Health 20, 1882 .
Khuroo, M. S., Khuroo, M. S., Khuroo, N .S. (2010). Trichuris dysentery syndrome: a common cause of chronic iron deficiency anemia in adults in an endemic area. Gastrointestinal Endoscopy. (1):200-4.
Loukouri.A, .Méité.A. Kouadio, O.K.Djè.N.N, Trayé-Bi.G, Benjamin G. Koudou, Eliézer K. N'Goran(2019): Prevalence, Intensity of Soil-Transmitted Helminths, and Factors Associated with Infection: Importance in Control Program with Ivermectin and Albendazole in Eastern Côte d'Ivoire. Journal of Tropical Medicine. 7658594.
Mascarini-Serra L.M, Telles C.A, Prado M.S, Mattos S.A, Strina A, Alcantara-Neves .N, (2010) Reductions in the prevalence and Incidence of geohleminth infections following a city-wide sanitation program in a Brazilian Urban Centre. PLoSNeglected Tropical Dieaesess. ;4:e-588
Miguel, E., & Kremer, M. (2004). Worms: Identifying Impacts on Education and Health in the Presence of Treatment Externalities. Econometrica, 72(1), 159-217.
Murray, C. J. L. (1996)."Rethinking DALYs." In The Global Burden of Disease, ed. C. J. L. Murray and A. D. Lopez, 1–98. Vol. 1 of Global Burden of Disease and Injury Series. Cambridge, MA: Harvard University Press
Nacher. M (2004). Interactions between worm infections and malaria. Clin Rev Allergy Immunol 26: 85–92.
Nduka, F. O., Nwaugo, V. O., & Nwachukwu, N. C. (2006). Human intestinal parasite infections in Ishiagu lead mining area of Abia State: Animal Research International Journal, 3(93):505-507.
Nwokeocha, C. G., Eze, N. C., & Nduka, F. O. (2018). Geohelminth infections and associated risk factors among children living in selected shanty (batcher) settlements in Port Harcourt metropolis, Rivers State, Nigeria. International Journal of Tropical Disease & Health, 29(1), 1–8. https://doi.org/10.9734/IJTDH/2018/39180
Odu, N. N., Maxwell, S. N., Nte, A. R, Akujiobi C. O. (2010) Helminthiasis among School Children in Rural Communities of Rivers State Nigeria. Nigeria Journal of Microbiology.24(1):2219-223.
Omotola, O.A, Ofoezie I.E (2019) Prevalence and Intensity of Soil Transmitted Helminths among School Children in Ifetedo, Osun State, Nigeria. Journal of Bacteriol Parasitol 10: 352.
Oninla, S. O., Owa, J. A., Onayade, A. A., & Taiwo, O. (2007). Intestinal helminthiases among rural and urban schoolchildren in south-western Nigeria. Annals of Tropical Medicine & Parasitology, 101(8), 705–713.
Potian, J. A., Rafi, W., Bhatt, K., McBride, A., Gause, W. C., & Salgame, P. (2011). Preexisting helminth infection induces inhibition of innate pulmonary anti-tuberculosis defense by engaging the IL-4 receptor pathway. The Journal of experimental medicine, 208(9), 1863–1874
Pullan, R. L., Smith, J. L., Jasrasaria, R., & Brooker, S. J. (2014). Global numbers of infection and disease burden of soil-transmitted helminth infections in 2010. Parasites & Vectors, 7, 37.
Salawu, S. A., Asaaolu, S. O. & Sowemim, O. A. (2014).Co–infections with Schistosoma haematobium and soil-transmitted helminthes among school-aged children in Saki, Oyo state, Nigeria. Journal of Public Health and Epidemiology, 6(12), 417-423
Second WHO Report on Neglected Tropical Diseases (2012): Sustaining The Drive to Overcome The Global Impact of Neglected Tropical Diseases.
Strunz, E. C., Addiss, D. G., Stocks, M. E., Ogden, S., Utzinger, J., & Freeman, M. C. (2014). Water, sanitation, hygiene, and soil-transmitted helminth infection: a systematic review and meta-analysis. PLOS Medicine, 11(3), e1001620.
Tekalign, E., Bajiro, M., Ayana, M, Tiruneh, A., Belay, T., (2019). Prevalence and Intensity of Soil-Transmitted Helminth Infection among Rural Community of Southwest Ethiopia: A Community-Based Study", BioMed Research International, vol. 2019, Article ID 3687873, 7 pages.
Uzor, C. A., & Odo, J. I. (2020). Prevalence of soil-transmitted helminth infections among children in some parts of Port Harcourt, Rivers State, Nigeria. Journal of Applied Sciences and Environmental Management, 24(7), 1183-1188.
Weisenberg, E. (2021). Trichuriasis. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/colontrichuriasis.html. Accessed August 8th 2021
WHO (2017). Guideline: Preventive Chemotherapy to Control Soil-Transmitted Helminth Infections in At-Risk Population Groups. World Health Organization, Geneva, Switzerland.
WHO Model Formulary. Based on the 13th Model List of Essential Medicines 2003. Geneva: WHO; 2004. World Health Organization; pp. 82–5.
World Health Organization. (2017). Guideline: Preventive chemotherapy to control soil-transmitted helminth infections in at-risk population groups. World Health Organization.
Yaro, C. A., Kogi, E. and Luka, S.A. (2018). Spatial Distribution and Modelling of Soil Transmitted Helminthes Infection in Nigeria. Advances in Infectious Diseases, 8, 82-107.